Table 3.
Additional plasma parameters in morbidly obese patients in each group before and after bariatric surgery.
| PLASMA |
Anova-2, p value |
||||||
|---|---|---|---|---|---|---|---|
| Parameters | Control (n = 22) | Time | DM − DL − (n = 10) | DM − DL + (n = 15) | DM + DL + (n = 7) | Comorbidities effect | Surgery effect |
| AST (UI/L) | 24.0 ± 1.4 | OB | 23.1 ± 2.0 | 20.8 ± 1.6 | 22.5 ± 2.4 | ns | 0.0002 |
| 1 M | 38.8 ± 4.7o | 33.2 ± 3.2oo | 30.8 ± 4.9 | ||||
| 6 M | 20.3 ± 2.4** | 21.3 ± 1.8** | 17.2 ± 1.6* | ||||
| 12 M | 22.2 ± 4.7* | 21.8 ± 2.2** | 18.7 ± 2.5 | ||||
| p = 0.0022 | p = 0.0012 | p = 0.0365 | |||||
| ALT (UI/L) | 26.0 ± 1.5 | OB | 34.4 ± 4.9 | 29.9 ± 3.6 | 33.0 ± 5.3 | ns | < 0.0001 |
| 1 M | 64.6 ± 10.3o | 51.5 ± 6.5oo | 39.8 ± 9.4 | ||||
| 6 M | 22.5 ± 4.8*** | 22.9 ± 2.6*** | 15.9 ± 4.3* | ||||
| 12 M | 20.3 ± 5.3*** | 22.4 ± 2.8*** | 17.9 ± 2.0 | ||||
| p = 0.0004 | p < 0.0001 | p = 0.0136 | |||||
| AST/ALT | 0.94 ± 0.10 | OB | 0.77 ± 0.08 | 0.75 ± 0.06 | 0.72 ± 0.07 | ns | 0.0007 |
| 1 M | 0.70 ± 0.09 | 0.68 ± 0.05 | 0.85 ± 0.14 | ||||
| 6 M | 1.07 ± 0.12 | 0.98 ± 0.06* | 1.32 ± 0.28 | ||||
| 12 M | 1.23 ± 0.16* | 1.02 ± 0.08** | 1.05 ± 0.09 | ||||
| p = 00.112 | p = 0011 | p = ns | |||||
| GGT (UI/L) | 32.0 ± 1.8 | OB | 28.4 ± 2.5 | 47.4 ± 7.8 | 41.2 ± 8.2 | ns | 0.0008 |
| 1 M | 32.1 ± 4.4 | 42.3 ± 8.3 | 25.5 ± 5.7 | ||||
| 6 M | 16.2 ± 1.8** | 20.3 ± 3.2oo,* | 15.5 ± 1.8o | ||||
| 12 M | 17.4 ± 3.2 | 17.9 ± 2.3oo,* | 14.1 ± 2.6oo | ||||
| p = 0.0023 | p = 0.0005 | p = 0.0039 | |||||
| Alkalin phosphatase (UI/L) | 58.2 ± 8.2 | OB | 76.7 ± 5.7 | 84.9 ± 5.6 | 68.8 ± 8.1 | < 0.0001 | ns |
| 1 M | 79.0 ± 5.5 | 99.2 ± 6.8 | 72.3 ± 4.5 | ||||
| 6 M | 90.6 ± 9.3 | 93.1 ± 4.6 | 79.7 ± 6.5 | ||||
| 12 M | 91.8 ± 8.2 | 94.9 ± 5.4 | 75.9 ± 5.7 | ||||
| p = ns | p = ns | p = ns | |||||
| Esterified bilirubin (mg/dL) | 0.07 ± 0.00 | OB | 0.20 ± 0.03 | 0.21 ± 0.01 | 0.22 ± 0.03 | < 0.0001 | ns |
| 1 M | 0.30 ± 0.04c | 0.27 ± 0.02c | 0.24 ± 0.03 | ||||
| 6 M | 0.30 ± 0.03c | 0.23 ± 0.03 | 0.26 ± 0.02c | ||||
| 12 M | 0.28 ± 0.03 | 0.27 ± 0.04c | 0.31 ± 0.04cc | ||||
| p = 0.0082 | p = 0.0279 | p = 0.0045 | |||||
| Total bilirubin (mg/dL) | 0.51 ± 0.03 | OB | 0.44 ± 0.08 | 0.42 ± 0.04 | 0.47 ± 0.09 | ns | ns |
| 1 M | 0.62 ± 0.08 | 0.61 ± 0.06 | 0.55 ± 0.06 | ||||
| 6 M | 0.69 ± 0.09 | 0.55 ± 0.07 | 0.66 ± 0.07 | ||||
| 12 M | 0.66 ± 0.09 | 0.71 ± 0.15 | 0.74 ± 0.11 | ||||
| DM − DL − p = ns | DM − DL + p = ns | DM + DL + p = ns | |||||
| Glycerol (mg/dL) | 0.54 ± 0.11 | OB | 1.76 ± 0.14ccc | 1.88 ± 0.15ccc | 1.96 ± 0.16ccc | < 0.0001 | 0.0194 |
| 1 M | 1.96 ± 0.25ccc | 2.00 ± 0.14ccc | 2.13 ± 0.23ccc | ||||
| 6 M | 1.51 ± 0.13cc | 1.60 ± 0.15ccc | 1.35 ± 0.26 | ||||
| 12 M | 1.51 ± 0.19cc | 1.49 ± 0.12ccc | 1.51 ± 0.25c | ||||
| p < 0.0001 | p < 0.0001 | p < 0.0001 | |||||
| NEFA (mM) | 0.47 ± 0.04 | OB | 0.55 ± 0.07 | 0.60 ± 0.05 | 0.60 ± 0.09 | 0.0083 | < 0.0001 |
| 1 M | 0.96 ± 0.10oo,ccc | 1.06 ± 0.11ooo,ccc | 0.84 ± 0.12cc | ||||
| 6 M | 0.66 ± 0.10 | 0.65 ± 0.05*** | 0.57 ± 0.06 | ||||
| 12 M | 0.42 ± 0.05*** | 0.56 ± 0.07*** | 0.55 ± 0.07 | ||||
| p < 0.0001 | p < 0.0001 | p = 0010 | |||||
| KB (mM) | 0.08 ± 0.03 | OB | 0.08 ± 0.02 | 0.07 ± 0.02 | 0.05 ± 0.01 | < 0.0001 | < 0.0001 |
| 1 M | 0.95 ± 0.21o,ccc | 0.74 ± 0.17ooo,ccc | 1.72 ± 0.48oo,ccc | ||||
| 6 M | 0.39 ± 0.17* | 0.16 ± 0.02o,cc | 0.57 ± 0.06 | ||||
| 12 M | 0.11 ± 0.05* | 0.11 ± 0.01** | 0.11 ± 0.03 | ||||
| p = 0.0002 | p < 0.0001 | p = 0.0003 | |||||
| KB/NEFA | 0.20 ± 0.08 | OB | 0.13 ± 0.03 | 0.10 ± 0.02 | 0.09 ± 0.02 | < 0.0001 | < 0.0001 |
| 1 M | 0.96 ± 0.21o,ccc | 0.71 ± 0.13ooo,ccc | 1.77 ± 0.48c,o | ||||
| 6 M | 0.45 ± 0.14 | 0.25 ± 0.02o,c | 0.28 ± 0.06 | ||||
| 12 M | 0.22 ± 0.09 | 0.20 ± 0.03 | 0.22 ± 0.07 | ||||
| p = 0.0004 | p < 0.0001 | p = 0.0051 | |||||
The data are expressed as the means ± SEM. Abbreviations: AST, aspartate transaminase; ALT, alanine transaminase; AST:ALT, ratio of AST and ALT activities; GGT, γ-glutaryl transferase; NEFA, non-esterified fatty acid; KB, ketone bodies; KB:NEFA, ratio of KB and NEFA; OB, 6 M and 12 M, obese, 6 and 12 months after surgery in the DM − DL −, DM − DL + and DM + DL + groups, respectively. The (o) symbol indicates the differences between obese and 1, 6 or 12 months after surgery in each group; the (*) symbol indicates the differences between 1 month and 6 or 12 months after surgery in each group; the (c) symbol indicates the differences between each time or obese group versus control (lean) group. One symbol, p < 0.05; two symbols, p < 0.01; three symbols, p < 0.001; ns, non-significant.